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Navy and Marine Corps 

Medical News 

A Public Affairs Publication of the U.S. Navy Bureau of Medicine and Surgery 

August 2012 

MEDNEWS Items of Interest 

August is National Immunization 
Awareness month, a reminder of the 
importance of immunization as an inte- 
gral part of overall health of individuals, 
famiUes and communities. This month is 
a good time to puU out your shot records 
and see if you are up-to-date on your 
vaccinations. For more information visit: 
httD:// And Mul- 

timedia/Special Features/immunization. 

The Navy Dental Corps will celebrate its 
100th birthday Aug. 22. 

Navy Weeks 2012 - Navy Medicine will be 
participating in the following 2012 Navy 
Weeks: Chicago (Aug. 13-20), Buffalo 
(Sept. 10-17) and Houston (Oct. 22-28). 

Find us on Facebook. U.S. Navy Bureau of 
Medicine and Surgery, follow us on Twit- 
ter @ NavyMedicine, read our publica- 
tions on Issuu, check out our photos on 
Flickr, watch our videos on YouTube and 
read our blog on Navy Live. 

Did You Know? 

Since March 2012, more 
than 6,500 samples 
have been tested for 
synthetic drugs within 
Navy Medicine. While a 
relatively minor percentage 
have come back positive. 
Sailors and Marines need 
to know they are putting 
their careers at risk if they 
partake in these activities. 



supports the current role of U.S. Navy 
healthcare professionals in contingency 
operations around the world. 

"Navy Medicine has historically been 
capable of operating in any environ- 
ment," he said. "A pillar of our training 
- team training with service members 
with whom they'll rely on heavily dur- 
ing the deployment - is exercised using 
high-fidelity simulation, which provides 
enhanced current skills to be able to do 
what they do best - save lives." 

The NEMTI- sponsored Kandahar 
Role-3 Hospital course is a two-week 
program designed to foster teamwork, 
and build and hone medical skills specific 
to what U.S. military medical profes- 
sionals might expect while on deploy- 
ment to the Role 3 Hospital at Kandahar 
Airfield in Afghanistan. The course was 

By Mass Communication Specialist 
1st Class (SW) Bruce Cummins, Navy 
IVIedicine Support Command Public 

CAMP PENDLETON, Calif. - Nearly 200 
active-duty and Reserve Sailors scheduled 
to deploy to the world's busiest military 
trauma hospital began the second itera- 
tion of a training program July 30 at the 
Naval Expeditionary Medical Training 
Institute (NEMTI) here. 

The training evolution, designed to 
integrate and develop them as a medi- 
cal team, marks only the second time 
the entire staff of enlisted and commis- 
sioned medical professionals and support 
personnel assigned to a forward-deployed 
medical facility began pre-deployment 
training together. 

This is an effort NEMTI Officer- 
In-Charge Capt. Thomas Sawyer, said 

See Kandahar, Page 3 

U.S. Navy photo by Mass Communication Specialist Bruce Cummins 

Capt. Sharon Troxel, a Naval Expeditionary Medical Institute Kandahar Role 3 
Course subject matter expert and guest instructor, explains the Focused Abdominal 
Sonographic Trauma exam to students during a skill stations class at Camp Pendle- 
ton, Calif., Aug. 3. The course is a two-week program designed to foster teamwork, 
and build and hone medical skills specific to what U.S. military medical profession- 
als might expect while on deployment to the Role 3 Hospital at Kandahar Airfield in 

Surgeon General's Corner 

Synthetic drugs, cutting 
short careers and lives 

As the surgeon general of the Navy, I 
am in awe of the young Sailors and Ma- 
rines who serve so gallantly My most sol- 
emn days are those when I see a shipmate 
fall from wounds or illness. I also have 
the solemn task on occasion to review the 
case of a vibrant Sailor or Marine who 
played Russian roulette with synthetic 
drugs such as "spice" or "bath salts" and 
lost, costing them their career, future and 
possibly life. 

The issues that keep me up at night 
are the ones that have the most impact 
on personnel readiness and our ability to 
help Sailors and Marines meet their mis- 
sions. For me, undoubtedly the preva- 
lence and growing popularity of synthetic 
forms of drugs like marijuana, the most 
common of which are spice and, in more 
recent months, bath salts, is one of those 
issues. These products are enough of a 
concern in our society that the federal 
government placed a ban on the sale of 
these man-made designer compounds 
earlier this month. 

The U.S. military represents a micro- 
cosm of our much larger population and 
in many ways strives to be a reflection of 
the society we serve, so we share many 
of the same health and safety issues as 
the general population, including the 
increased use of these dangerous and 
debilitating drugs - which not only affect 
our service members' health, but also our 

Navy and Marine Corps 

Medical News 

U.S. Navy Bureau of Medicine and Surgery 

l>?i ce Adm. Matthew L. Nathan 

U.S. Navy Surgeon General 

Capt. Dora Lockwood 

Public Affairs Officer | 

Shoni PiUp-Florea 

Deputy Public Affairs Officer 

Valerie A. Kremer 
lEDNEWS Managing Editor 

U.S. Navy Bureau of Medicine and Surgery 
^700 Arlington Blvd. Ste. 5122 

i^alls Church, Va. 22042-5 122 j 
1 Public Affairs Office , 

readiness as a military force. For nearly a 
year now. Navy leaders have taken a mul- 
titiered approach to combating this es- 
calating issue in our forces, and with our 
partners in the Naval Criminal Investiga- 
tive Service, Naval Personnel Command 
and throughout our naval enterprise, 
we have made progress in deterring and 
detecting use. 

It is important for Sailors and Ma- 
rines to know that despite manufacturer 
claims, we can and are testing for these 

The chemicals found in these drugs are 
not regulated by the U.S. Food and Drug 
Administration and no two batches are 
alike, meaning it is nearly impossible to 
determine the drug's potency. Most pack- 
aging clearly reads, "Not for human con- 
sumption," and that is for good reason. 
Military and civilian health professionals 
continue to learn more about the negative 
health effects of synthetic drug use, and 
the data are alarming. 

Bath salts are essentially chemically 
engineered products meant to stimulate 
the central nervous system — similar to 
drugs such as methamphetamine, cocaine 
and Ecstasy. 

Detrimental effects of the drug, which 
is also marketed as "plant food" or "herb- 
al incense," include but are not limited to 
extreme paranoid delusions and hallu- 
cinations, anxiety, agitation, aggression, 
tremors, seizures and dysphoria. 

As the leader of the medical commu- 
nity for the Navy and Marine Corps, I 
cannot emphasize enough to our sailors 
and Marines that using synthetic drugs 
really is just like playing Russian roulette 
with their health, not to mention their 

Navy and Marine Corps personnel 
who wrongfully possess, use, promote, 
manufacture or distribute designer drugs 
or products containing synthetic can- 
nibinoid compounds such as spice or 
paraphernalia maybe subject to puni- 
tive action under Articles 92 and 112a 
of the Uniform Code of Military Justice, 
adverse administration action, or both. 
Consumption of any of these products 
meets the criteria for drug abuse and is 

In March, we started screening for 
spice and more recently for bath salts. 

Vice Adm. Matthew L. Nathan 
U.S. Navy Surgeon General 

We have tested more than 6,500 samples 
since then and while a relatively minor 
percentage have come back positive. 
Sailors and Marines need to know they 
are putting their careers at risk if they 
partake in these activities. In the past 
year alone, hundreds of Sailors were held 
accountable for use or possession of these 
products. One-time use is enough for 
discharge from service. 

To deter drug abuse, I have urged all in 
positions of leadership to be fuUy engaged 
in their command's implementation plan 
to continually communicate and educate 
all hands as to the Navy's zero-tolerance 
policy on synthetic designer drugs. 
Each command's aggressive awareness 
and education campaign should begin 
during indoctrination and be reinforced 
throughout the year. We cannot over- 
communicate this issue. Accountability 
for those who abuse these substances will 
help deter their abuse. 

Given the rise in usage, deterring syn- 
thetic drug abuse must be an all-hands ef- 
fort. But as I mentioned before, this is not 
just a military issue. I implore everyone 
to take care when making decisions about 
using synthetic drugs. It's not healthy. It's 
not legal. It's not worth it. 

I can promise that Navy Medicine will 
continue to shine a light on this growing 
concern by delivering sustained, coor- 
dinated, aUgned and targeted messages 
throughout the Navy and Marine Corps 
to ensure every person representing our 
armed forces is fully informed of the dan- 
gers of synthetic drugs, and I encourage 
my civilian medical counterparts to do 
the same in their communities. 

It is my honor to serve you as the Navy 
surgeon general. 

Navy Surgeon General Mghights Navy Medicine in Pacllic Nortiiwest 

From U.S. Navy Bureau of Medicine and Surgery Public Affairs 

SEATTLE - The U.S. Navy Surgeon General concluded a three- 
day visit to the Pacific Northwest region, Aug. 3, which included 
tours of Navy Medicine facilities and high level engagements 
with community, athletic and educational leaders. 

During his visit to the region, U.S. Navy Surgeon General, 
Vice Adm. Matthew L. Nathan, toured the medical facilities 
at Naval Hospital Bremerton and Naval Branch Health Clinic 

While there he met with leadership and conducted all hands 
calls with the Sailors, staff and officers. He praised their work 
in supporting and enabling the warfighter and ensuring their 
readiness to deploy on the sea, above the sea, under the sea or 
on the battlefield. 

"We are in the readiness business," said Nathan, "and you 
have incredible worldwide responsibilities. In the Navy we place 
a tremendous amount of responsibility on our Sailors, and I 
applaud and appreciate what you do every day. Everywhere a 
Sailor or Marine goes. Navy Medicine goes with them." 

While in Seattle, Nathan visited the University of Washing- 
ton School of Medicine. His visit included discussions with Dr. 
Thomas E. Norris, University of Washington professor and chair 
of the Department of Family Medicine, and other university 

Norris described the mutual value of the relationship be- 
tween the Navy and the University of Washington. 

"We are so proud of the Naval Hospital Bremerton residency 
program," said Norris. 

He went on to discuss how much faculty members learn from 
each other about both military and civilian medicine and the 
mutually enriching relationships between university faculty. 
Navy medical leadership and medical school students. 

Nathan thanked the university staff for their interest in the 

Photo by Doug Stutz 

Vice Adm. Matt L. Nathan, U.S. Navy surgeon general and 
chief, Bureau of iviedicine and Surgery tours the Seattle 
Seahawk Training Facility and confers with Seahawk Team 
Physician Dr. Stan Herring and the NFL on football concussion 
awareness and prevention, including legislative efforts. 

U.S. Navy and praised their family medicine residency network. 

"You have an iconic program here and a very robust relation- 
ship with the Navy," said Nathan, "and we can leverage what 
systems like yours have to offer." 

The surgeon general also had the opportunity to attend a 
Seattle Seahawks practice at their training facility in Renton, 
Wash. There, he met with Dr. Stanley A. Herring, co-director, 
Seattle Sports Concussion program, and key members of the 
Seahawks' staff. The visit included a tour of the training facility 
and discussions on the prevention and treatment of concussive 
injury and traumatic brain injury. 

Throughout the exchange, Nathan and Herring stressed the 

See Pacific, Page 3 


From page 1 

initially offered in January 2012 and met 
with resounding success. Service mem- 
bers previously deploying in support of 
operations in Africa, Afghanistan and 
Iraq were either sent individually or in 
small groups, replacing other personnel 
with similar specialties or Navy Enlisted 
Classifications (NECs) on a "one-for-one" 

U.S. Navy Bureau of Medicine and 
Surgery, Navy Medicine Support Com- 
mand and the operational training lead- 
ership, however, recognized the need for 
additional requirements in the training 
pipeline, suggesting a course that would 
allow deploying personnel the opportu- 
nity to train together from the inception, 
fostering a sense of teamwork and unity 
imperative for the continued success 
medical personnel have affected in some 
of the most dangerous areas in the world. 

"It is gratifying to watch personnel 
from all skill levels come together as a 

team," Sawyer said. "We are training both 
Role 2 and Role 3 deployers during this 
course. They arrived as individuals and 
will depart as medical teams ready to 
perform their specific mission." 

The term "role" describes the tiers in 
which medical support is organized, with 
Role 3 describing the capabilities of a 
theater-level hospital. 

The course, designed by NEMTI, was 
approved by the US Fleet Forces Com- 
mand, CENTCOM and the former Navy 
Medicine Support Command in response 
to deployment requirements and feed- 
back received from previously deployed 
personnel including past and current 
commanding officers of the North 
American Treaty Organization-run Role 
3 Kandahar Medical Facility. The course 
includes a variety of medical training 

The curriculum for this course in- 
cludes JTTS Clinical Practice Guidelines 
and incorporates concepts of pre-de- 
ployment trauma requirements such as 
tactical combat casualty care. Additional 

subjects include ethics, psychiatric disor- 
ders. Army working dogs and unexplod- 
ed ordinance. 

Kandahar Role 3 students participate 
in a lecture/question and answer forum 
with members from the NMCSD Wound- 
ed Warrior Battalion, and the course 
culminates with a mass casualty drill. 

"It is a privilege to serve the Marines," 
Sawyer said. "The Wounded Warriors 
provide a final crescendo that brings the 
trauma instruction and team building all 

Service members completing the Kan- 
dahar Role-3 Hospital course will next 
complete U.S. Central Command military 
requirements aboard training sites such 
as Fort Dbc, N.J., and Fort Jackson, S.C. 

NEMTI, the premier U.S. Navy train- 
ing facility for expeditionary medicine, 
reports to the Navy Medicine Operational 
Training Center (NMOTC) in Pensacola, 
Fla., and the Medical Education and 
Training Command in San Antonio, 

August 2012 -MEDNEWS -3 

Pacific Partnersliip closes in Cambodia 

By Mass Communication Specialist 3rd Class Clay M. 
Whaley, Pacific Partnership 2012 Public Affairs 

SIHANOUKVILLE, Cambodia - Pacific Partnership 2012 
(PP12) held a closing ceremony, Aug. 11, finishing the two week 
mission that took place across four different provinces including 
Sihanoukeville, Kampot, Koh Kong and Phnom Penh, Cambo- 

The ceremony consisted of two key speakers to include Wil- 
liam E. Todd, U.S. Ambassador to Cambodia, and Vice Adm. 
Tea Vinh, of the Kingdom of Cambodia Ministry of Defense. 

Cambodia is the last of four-mission ports supported during 
the four-and-a-half month PP12 deployment aboard the Mili- 
tary Sealift Command hospital ship USNS Mercy (T-AH 19). 

PP12 Mission Commander Capt. Jim Morgan said he had a 
wonderful experience building relationships with the Cambo- 
dian locals. 

"These relationships are important to have in order to work 
together to respond to natural disasters. It's been a pleasure to 
be in Cambodia and I thank the government and military in 
Cambodia for inviting us to be here," he said. 

Vice Adm. Tea Vinh said PP12's visit to Cambodia has been 
the testimony reflecting the progress and sustainability of 
friendship and cooperation between Cambodia and the U.S. 

Pacific Partnership, an annual U.S. Pacific Fleet humanitar- 
ian and civic assistance mission now in its seventh year, brings 

Photo by Ki'istopher Radder 

Hospital Corpsman 2nd Class Jason Smith shows a group of 
Cambodian medical students how to make a temporary splint 
aboard the Military Sealift Command hospital ship USNS Mer- 
cy (T-AH 19) during Pacific Partnership 2012, Aug. 4. Cambo- 
dia is the final mission port for Pacific Partnership 2012. 

together U.S. military personnel, host and partner nations, non- 
government organizations and international agencies to build 
stronger relationships and develop disaster response capabilities 
throughout the Asia-Pacific region. 

Building Relationships 

Peter Harsch, right, explains the process of 
building custom-fit prosthetic limbs to U.S. 
Ambassador to Georgia John R. Bass in 
the prosthetics laboratory at Naval Medical 
Center San Diego's Comprehensive Combat 
and Complex Casualty Care facility, J uly 
31. Following his tour of the facility, Bass 
visited a group of Georgian Armed Forces 
service members who are being treated for 
combat injuries at the center. 


From page 3 

importance of increased emphasis on 
concussion awareness, medical research, 
and development of initiatives to prevent 
concussive injury on both the battlefield 
and the athletic field. 

"There are mutual benefits in exchang- 
ing information and learning from one 
another," said Herring. 

Nathan described the efforts Navy 
Medicine continues to work in the pre- 
vention of concussive injury and trau- 
matic brain injury treatment. 

4 -MEDNEWS -August 2012 

"We share similar excitement and 
challenges for our Sailors and Marines 
as you do for your athletes," said Nathan. 
"The dialogue and cross pollination that 
we share is essential to improved care for 
both our warriors and your athletes, and 
I am encouraged by this opportunity to 
share information." 

In a fitting finale of his Pacific North- 
west visit, the U.S. Navy's Surgeon Gen- 
eral and Cmdr. Douglas Stephens, officer 
in charge of the Branch Health Clinic 
Everett, commemorated the birthday of 
the Medical Services Corp with a cake- 
cutting ceremony. The Medical Ser- 
vices Corp has become an indispensable 

component of Navy Medicine, serving 31 
specialties ranging from clinical providers 
to scientists, to health care providers. The 
Medical Services Corp will celebrate its 
65th birthday Aug. 4. 

Speaking to assembled Sailors, Nathan 
commended the work they do every 
day in supporting the Navy's maritime 

"This is my first visit to this clinic, and 
I am impressed by what I've seen," said 
Nathan. "I do not take for granted what 
you do every day, especially in today's all- 
volunteer force. I am proud to serve with 
such an outstanding group of profession- 
als. Keep up the tremendous work." 

Navy Medicine meets world-class leaders during Milwaukee Navy Week 

By Valerie A. Kremer, U.S. Navy 
Bureau of Medicine and Surgery 
Public Affairs 

MILWAUKEE - Navy medicine leader- 
ship met with top health care, education- 
al, and athletic leaders to discuss shared 
initiatives in research and development, 
wounded warrior care, and energy initia- 
tives as part of Milwaukee Navy Week, 
Aug. 7-11. 

Rear Adm. Margaret Rykowski, deputy 
fleet surgeon, U.S. Fleet Forces Com- 
mand, and deputy director. Navy Nurse 
Corps, reserve component, was the senior 
medical officer representing Navy Medi- 
cine during Milwaukee Navy Week. 

"It is a pleasure to be back in Milwau- 
kee, which has a rich heritage of support- 
ing the military," said Rykowski. "The 
Navy truly is a 'Global Force for Good' 
and Milwaukee Navy Week provides 
a wonderful opportunity to show the 
people of Milwaukee and Wisconsin what 
their Navy does, how we take care of our 
dedicated men and women in uniform, 
and the possibilities for those looking to 
pursue a career in the Navy." 

Out of the nearly 330,000 active duty 
Sailors across the Navy, 1,200 come from 
Wisconsin, nearly 700 reserve Sailors 
hail from Wisconsin and more than 6,000 
retired Navy men and women are cur- 
rently living in the state of Wisconsin, 
Rykowski noted. 

During a meeting at the Clement 
Zablocki Veterans Affairs Medical Center, 
Rykowski met with leadership and staff 
and discussed the similarities between 
the Patient Aligned Care Team (PACT) 
and Navy Medicine's Medical Home Port 
model. In both models, the patient is as- 
signed a team of health care professionals 
who takes care of the patient's continuum 
and coordination of care. 

"In nursing and in medicine it is our 
job to educate patients and look at their 
goals and needs," said Deborah Hagen, 
division manager for primary care, and 
coordinator, PACT program. "It is won- 
derful to learn how the Medical Home 
Port model in Navy Medicine is similarly 
working in fulfilling patients' goals as 

Photo bv Valerie A. Kremer 

Deputy Fleet Surgeon, U. S. Fleet Forces Command and Deputy Director, Navy 
Nurse Corps, Reserve Component, Rear Adm. Margaret Rykowski recieves a tour of 
GE Healthcare during the Navy's commemoration of the Bicentennial of the War of 
1812 in Milwaukee. This celebration coincides with Milwaukee Navy Week, one of 
15 signature events planned across America in 2012. 

During her presentation, Rykowski 
highlighted Navy Medicine's critical role 
in the maritime strategy with regards to 
the use of smart power through hu- 
manitarian assistance/disaster response 

"Navy Medicine plays a vital role in 
the execution of the maritime strategy: 
forward presence, deterrence, sea control, 
power projection, and maritime security, 
because no ship, submarine, aircraft or 
other Navy asset deploys without the sup- 
port of Navy Medicine," said Rykowski. 
"In addition. Navy Medicine projects 
and executes 'smart power', the maritime 
strategy's final priority, through its most 
visible role in humanitarian assistance/ 
disaster relief (HA/DR) missions." 

Rykowski also met with the Milwau- 
kee Bucks basketball team medical staff 
and toured their training facility during 
her visit to discuss similarities between 
the care provided for players and service 

"It was a pleasure having Rear Adm. 

Rykowski visit the Milwaukee Bucks dur- 
ing Milwaukee Navy Week," said Marc 
Boff, head athletic trainer, Milwaukee 
Bucks. "It was great to learn about the 
similarities regarding injury prevention 
and treatment between our players and 
service members." 

Other events during the week included 
a visit with A.O. Smith, GE Healthcare, 
AIDS Resource Center of Wisconsin, 
the University of Wisconsin-Milwaukee 
Chancellor, and the Milwaukee Kiwanis 
Club, to name a few. 

Milwaukee Navy Week (Aug. 6-13) is 
one of 15 Navy weeks across the coun- 
try this year. Navy Weeks are designed 
to show Americans the investment they 
make in their Navy and increase aware- 
ness in cities that do not have a signifi- 
cant Navy presence. The week-long event 
also commemorates the Bicentennial of 
the War of 1812, hosting service members 
from the U.S. Navy, Marine Corps, Coast 
Guard and Royal Canadian Navy. 

View more Navy Medicine pliotos online at: pliotos/ navymedicine/ 

August 2012 -MEDNEWS • 5 

Pain management team broadens access to care in Bremerton 

By Douglas H Stutz, Naval Hospital 
Bremerton Public Affairs 

BREMERTON, Wash. - Naval Hospital 
Bremerton hosted members of the Navy 
Comprehensive Pain Management Pro- 
gram (NCPMP) for a fact-finding, brain- 
storming collaboration visit Aug. 8 and 9. 
"The pain management team was here 
to meet and gather information on pro- 
gram capabilities 

"Chronic pain impairs 
readiness and is a 
common medicai 
evacuation cause." 

we have at NHB,' 
said Cmdr. 
Brendan Melody, 
NHB Director of 
"We all want to 
know how to 
implement better 

al, and interdisciplinary pain care across 
Navy Medicine, ensuring treatment effi- 
cacy through practice guidelines, educa- 
tion, and analysis of treatment outcomes. 

"There is a crisis in effectiveness in 
handhng pain," explained Lesnik. "The 
number one issue from beneficiaries and 
active duty personnel is about pain. Pain 
is the most common complaint. Its loss of 
function and it impacts quality of life. We 
have used the tools 

with our stake- 
holders in all of our departments and 
clinics to help our beneficiaries." 

According to Capt. Ivan Lesnik, Navy 
Medicine West NCPMP lead, the general 
objectives for this U.S. Navy Bureau of 
Medicine and Surgery initiative program 
are to aid in the restoration of function 
and relief of pain by broadening access to 
evidence -based, standardized, multimod- 

-Capt. Ivan Lesnik 
Navy Medicine West NCPI\/IP lead 

that we have but 
that's not enough." 

The Navy re- 
sponse to improve 
handling pain capa- 
bilities is based on 
the 2010 National 
Defense Authoriza- 
tion Act and 2011 

Assistant Secretary of Defense for Health 
Affairs memorandum requiring standard- 
ized, comprehensive, multidisciplinary 
pain management in the Military Health 

"This is really about pushing our care 
to the deck plates, especially improving 
access to care with a big emphasis on 
restoring function and capability," said 
Lesnik. "Anything that erodes readi- 

ness is a deterrent. The major pain areas 
continue to be the lower back, joint and 
shoulder pain for the junior and senior 
enlisted personnel." 

Lesnik attests that chronic pain is at 
a current state where it is a disease and 
economic burden to the entire country. 

"From the utiHzation of care stand- 
point, the most common office visit com- 
plaint is chronic pain, which is directly 
associated with loss of function, quality of 
life and workdays," said Lesnik. "Chronic 
pain impairs readiness and is a common 
medical evacuation cause." 

Lesnik notes that special emphasis will 
be placed on improving quality of life and 
functionality, decreasing pain, increasing 
patient satisfaction, reducing pain-related 
costs, lessening limited-duty days, and 
improving access to care for complex 
acute, high-risk acute and chronic pain 

"The vision is readiness through resto- 
ration of function and relief of pain," said 
Lesnik. "Navy Medicines solution at our 
military treatment facilities, hospitals and 
clinics is to have multidisciplinary pain 
care teams that we call R4 Pain teams. R4 
is reference to readiness, restoration of 
function, relief of pain and research." 

NHCCC Uglits the bite' to help prevent mesquito-berne Illnesses 

By Bill W. Love, Naval Health Clinic Corpus Christi, Public 

CORPUS CHRISTI, Texas - Public Health Services (PHS) at 
Naval Health CHnic Corpus Christi (NHCCC) Aug. 7, described 
on-base monitoring of West Nile virus (WNV) and recommen- 
dations for reducing mosquito bites. 

"Our 'Fight the Bite' approach to the prevention of mosquito- 
borne illnesses begins with a vigilant surveillance program con- 
ducted by our staff in Preventive Medicine (PREVMED). This 
basic surveillance consists of trapping mosquitoes around the 
base in order to identify the number, species, and gender of the 
local mosquito population," said Dr. M. Rony Francois, NHCCC 
director, PHS and public health emergency officer. 

Although the Texas Department of State Health Services 
reports a higher than usual number of human West Nile virus 
cases in Texas this year due to the warm winter and recent rains, 
PREVMED is proactively performing year-round inspections 

"Mosquito surveillance serves as a sentinel for human dis- 
ease, because if you are finding West Nile virus in the mosquito 
population during trapping, guess what, it's just a matter of time 
before it shows up in humans," added Francois. 

PREVMED maintains traps located throughout family hous- 
ing and at the nearby Childhood Development Center, and one 
of its representatives described the process. 

6 -MEDNEWS -August 2012 

Hospital Corpsman 3rd Class Taylor Boynton, a preventive 
medicine representative at the Naval health clinic at Naval 
Air Station Corpus Christi, collects pond water for mosquito 
traps located in base family housing. Clinic preventive medi- 
cine staff monitor the on base mosquito population year- 
round, focusing on the summer months when the insects are 
more abundant and there is an increased chance of acquiring 
mosquito-borne illnesses. 

"We've had a lot of complaints about mosquitoes this sum- 
mer because they like the humidity and the heat," said Hospital 
Corpsman 3rd Class (FMF) Taylor Boynton, while he mixed a 

See Prevent, Page 8 

USS Emory S. Land conducts medical evacuation 

By Mass Communications Specialist 2nd Class Jared X. 
Aldape, USS Emory S. Land Public Affairs 

USS EMORY S LAND, At Sea - USS Emory S. Land (AS 39) 
conducted an emergency medical evacuation (MEDEVAC) for a 
crewmember Aug. 7. 

At approximately 12:00 p.m., the crewmember, who had 
suffered a heart attack, was lowered by stretcher into a tug 
boat arranged by the Glenn Marine Group of Malaysia, a ship's 
husbandry group who is a sub contractor of On Call Interna- 
tional, the medical support group for Military Sealift Command 

Lt. Shalimar Enright, Land's undersea medical officer, assisted 
the transfer of the patient and returned to the Land via Navy 
fast boat provided by the Royal Malaysian Navy (RMN). 

"Although it was an unfortunate occurrence, this MEDEVAC 
served to demonstrate the strong ties between the U.S. and 
Malaysian navies," said Enright. "We worked together in a safe 
and effective manner, and we were able to save a shipmate's life 
in the process". 

The patient was transported ashore in Malaysia where he will 
receive emergency medical treatment. 

"We had great support from our operational chain of com- 
mand in quickly coordinating this medical evacuation," said 
Capt. Paul Savage, Land's commanding officer. "The mission 
was a success because of the team efforts of our embassy team 

Courtesy photo 

USS Emory S. Land (AS 39) conducted an emergency medical 
evacuation (MEDEVAC) for a crewmember Aug. 7. 

in Malaysia and our Navy's good relationship with the Royal 
Malaysian Navy." 

Land, homeported in Diego Garcia, is underway in the South 
China Sea and on an extended deployment conducting coordi- 
nated tended moorings and afloat maintenance in the U.S. 7th 
fleet area of operations. 

To learn more about USS Emory S. Land (AS 39), visit www. or . 

Okinawa Naval hospital opens doors to students 

By Lance Cpl. Brianna Turner, III Marine 
Expeditionary Force / Marine Corps 
Installations Pacific 

OKINAWA, Japan - Students of Am- 
erAsian School of Okinawa and Kubasaki 
High School visited the U.S. Naval Hos- 
pital Okinawa at Camp Lester to partici- 
pate in the science, service, medicine and 
mentoring program July 23-27. 

The program, also known as S2M2, is 
designed to provide learning opportuni- 
ties to high school students interested in 
pursuing a career in science or medicine. 

"This program has been in the U.S. 
since 2007, but this is the first time we 
have done it here," said Navy Lt. So Y. 
Newton, the head of staff education and 
training at U.S. Naval Hospital Okinawa. 

Newton began planning for imple- 
mentation of this program at the hospital 
about two months ago. 

"I have always wanted an opportunity 
like this for my students," said Midori 
Thayer, the principal and founder of Am- 
erAsian School of Okinawa. "The hospital 
reached out and asked if I would like to 
participate, and I was so excited to bring 
them here." 

During the weeklong summer pro- 
gram, the students toured the operating 
room, cast room and research lab. They 
also learned about the pharmacy, pre- 

ventive medicine and cardiopulmonary 

"I think this program is fantastic," said 
Lt. Cmdr. Emeka Ofobike, the head of the 
orthopedics department at the hospital. 
"The students get to come into the hospi- 
tal, see what the medical field entails, and 
experience a lot of hands-on training." 

"The students have never had such a 
big opportunity," said Midori. 

While the students toured the hospital, 
they had the chance to experience having 
a cast firsthand. 

"We actually sent the children home 
with a cast on their arm," said Newton. 
"Many of the students were excited to 
play with the casts, but they don't realize 
how tedious it really is to have a broken 
bone. We placed a cast on each one of the 
children's dominant arm, so they could 
experience what it is like when something 
as simple as combing their hair or brush- 
ing their teeth becomes difficult." 

The orthopedic technicians removed 
the casts from the children's arms the 
next day. 

This is the first time the program has 
been brought to this hospital, but will not 
likely be the last. 

"If everything goes well, we hope to 
have more training during winter break," 
said Newton. "Hopefully we can expand 
it to (other) schools." 

ianna Turner 

Navy Petty Officer 3rd Class Marco 
Brown places a cast on Erica J ones dur- 
ing the science, service, medicine and 
mentoring program at U.S. Naval Hos- 
pital Okinawa at Camp Lester J uly 23. 
Jones is a student of AmerAsian School 
of Okinawa, and Brown is an orthopedic 
technician with the hospital. 

August 2012 -MEDNEWS • 7 

ARMY Mi:»ALS PKESliliYni;!) TO COKPSM]i;^' 

By Pfc. Anne K. Henry, Marine Corps Bases Japan 

CAMP CASEY, Republic of Korea — Three U.S. Navy hospital 
corpsmen with 12th Marines were awarded the Army Achieve- 
ment Medal Aug. 7 at Camp Casey Army Garrison, Republic of 
Korea, during Korean Marine Exchange Program 12-7. 

Hospital Corpsman 2nd Class Geoffrey Ward and Hospital- 
men Mario Gallon and Zachory Myers, attached to 12th Ma- 
rine Regiment, 3rd Marine Division, III Marine Expeditionary 
Force, received the medals for rendering medical assistance to 
U.S. Army soldiers involved in a Humvee rollover. 

"The Humvee went off the road and tumbled over the side," 
said Senior Chief Petty Officer Reese D. Ritter, the senior en- 
listed medical advisor with the regiment. "The soldiers made 
their way back up the road the corpsmen saw them and pro- 
vided medical assistance." 

The soldiers were at Nightmare Range, Republic of Korea, in 
support of a ROK and U.S. Marines' bilateral live-fire training 
event when their vehicle rolled over. 

The training the corpsmen received earlier during KMEP 
12-7 turned out to be critical, as the training scenario presented 
itself in real life. 

"I am very glad the two soldiers are doing well," said Ward. 
"We saw one soldier on the road, and he looked pretty shaken 
up. We could tell he needed help, so we gave him medical care 
and evacuated him. We were just doing our jobs." 

The medals were presented by U.S. Army Lt. Col. Jeremy P. 
McGuire, the commanding officer of 1st Battalion, 15th Field 
Artillery Regiment, 2nd Infantry Division. 

By Pfc. Anne K. Henry 

U.S. Army Lt. Col. Jeremy P. McGuire, left, presents an Army 
Achievement Medal citation to Hospital Corpsman 2nd Class 
Geoffrey Ward at Camp Casey Army Garrison Aug. 7 during 
Korean Marine Exchange Program 12-7. McGuire is the com- 
mander of 1st Battalion, 15th Field Artillery Regiment, 2nd 
Infantry Division. Ward is with 12th Marine Regiment, 3rd 
Marine Division, III Marine Expeditionary Force. 

"This is the first time I've presented the Army Achievement 
Medal since taking command of the battalion, and I'm present- 
ing it to sailors from the Navy," said McGuire. "That's something 
that you don't see very often, but I'm grateful for their assistance 
and glad to be awarding them." 


From page 6 

batch of stagnant pond water with grass 
and dried rabbit food. 

After pouring the mixture into rub- 
berized tubs outfitted with fan-powered 
traps, mosquitoes attracted to their new 
environment are captured when they are 
sucked up into the net covering. 

When summer began in June, on-base 
residents had to contend with swarms of 

"I think our high point was 76 mos- 
quitoes in one trap about a month ago," 
said Boynton. "When we find 20 mosqui- 
toes in a trap that is extremely high." 

After the insects are trapped and col- 
lected, Boynton says that a brief stint in 
the freezer immobilizes them for further 
study under the microscope. The team 

then sorts out all of the males and gathers 
the females for supplementary analysis by 
the veterinarian. 

"Our team works closely with Army 
Capt. Crystal Lindaberry, officer in 
charge. Naval Air Station Corpus Christi 
Veterinary Services," said Francois. "She 
facilitates the provision of additional 
testing on appropriate specimens in San 

"The other important aspect of our 
preventive strategy is to educate every 
family about useful precautions that help 
to reduce the risk of mosquito bites," he 

When you are outdoors, use insect 
repellent containing an EPA-registered 
active ingredient. Follow the directions 
on the package. 

Many mosquitoes are most active at 
dusk and dawn. Be sure to use insect 

repellent and wear long sleeves and pants 
at these times or consider staying indoors 
during these hours. 

Make sure you have good screens on 
your windows and doors to keep mosqui- 
toes out. 

Get rid of mosquito breeding sites by 
emptying standing water from flower 
pots, buckets and barrels. Change the 
water in pet dishes and replace the water 
in bird baths weekly. Drill holes in tire 
swings so water drains out. And keep 
children's wading pools empty and on 
their sides when they are not in use. 

"Currently, the mainstay of treatment 
for West Nile virus infection is support- 
ive. Therefore, the preventive activities 
remain the essential elements of our strat- 
egy for reducing morbidity and mortality 
from this disease," said Francois. 



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8 -MEDNEWS -August 2012 

Navy Medicine Researcli 

NAMRU-3 supports multinational force, observers in the Sinai 

From NAMRU-3 Public Affairs 

CAIRO - A team from the U.S. Naval 
Medical Research Unit No. 3 (NAM- 
RU-3) in Cairo, Egypt provided vector bi- 
ology and preventive medicine guidance 
to the Multinational Force and Observers 
(MFO) in the Sinai in May. The team in- 
cluded NAMRU-3 vector biology labora- 
tory technician Noha Watany and Capt. 
Jesse Monestersky, who provided vector 
biology and preventive medicine guid- 
ance when the team visited six remote 
sites for vector assessment. 

At the request of the MFO's preventive 
medicine unit, the assistance visit focused 
on improving MFO Sinai vector surveil- 
lance, reporting, and vector control. The 
joint MFO preventive medicine unit and 
NAMRU-3 team assisted with identifica- 
tion and control of the filth fly, sand fly, 
and mosquito vectors, which can trans- 
mit diseases to soldiers or are of high 
nuisance importance. The team set up 
traps and instructed the preventive medi- 
cine staff on collection and processing of 
the specimens to be sent to NAMRU-3. 
Training was conducted on sand fly trap- 
ping and processing and leishmaniasis. 

"Ms. Noha had studied the sites before 
the visit and knew the issues she'd meet, 
making the visit extremely productive," 
said Capt. Hinnerichs, deputy of Force 
Preventive Medicine. 

The MFO also requested cHnical sup- 
port for healthcare providers at South and 

(Courtesy photo 

Noha Watany, NAMRU-3 vector biol- 
ogy laboratory technician and Sgt. First 
Class Ishmael in the Multinational Force 
and Observers's preventive medicine 

North Camp clinics on diarrheal disease, 
occupational medicine, and principles 
of mass casualty. Monestersky provided 
training to South Camp clinic staff' on 
infectious diarrhea and an introduction 
to occupational medicine, including a 
discussion on threats posed by open pit 
burning. He also provided a lecture on 
mass casualty to MFO North CHnic staff. 
The NAMRU-3 team was able to pro- 
vide highly relevant and needed support 
to address the mosquito problem in the 
South Camp area. 

"This visit paved the way for future 
collaboration and operational support to 
MFO on pest control (filth flies, mos- 
quitoes, sand flies) and for entomology 
research with joint collaboration between 
MFO PrevMed and NAMRU-3 Vector 
Biology," said Hinnerichs. 

Future work is planned to include 
novel methods of sand fly control, includ- 
ing Ivermectin impregnated rodent food 
pellets and fungal application into rodent 
burrows, and potential diarrheal study 

Courtesy photo 

Noha Watany (left), Capt. Hinnerichs (center). Multinational Force and observers 
PrevMed staff, and the Colombian contingent gather after the Center for Disease 
Control's light trap demonstration. 

Force and Ob- 
servers' Capt. 
Hinnerichs and 
NAMRU-3's Noha 
Watany checl< filth 
fly trapping de- 
vices in the Sinai. 

Courtesy photo 

August 2012 -MEDNEWS • 9 

Voices from the Field 

USNS Mercy: Amplifying thie Quality of Life 

By IVIaj. Cameron Jamleson, 
Australian Army, Combined l\/ledia 
Bureau, USNS IVIercy (T-AH 19) 

A profoundly deaf Cambodian man 
can hear the world around him thanks 
to the help of the U.S. Navy-led Pacific 
Partnership 2012 mission and Williams 

Twenty-seven-year-old Cambodian 
man Lorn Siiha [Editor's Note: Siiha is 
his first name] has had his quality of life 
amplified to an exciting new level thanks 
to the gift of a product that was not in his 
own means to obtain. 

Siiha was born with practically no 
hearing and has led a silent life, commu- 
nicating via sign language. 

With the help of Cambodian non-prof- 
it organisation M'Lop Tapang the young 
man is learning how to be a waiter at the 
charity's Sandan Restaurant, which runs a 
hospitality vocational training program. 

Siiha's life changing-moment found its 
genesis when the restaurant manager ap- 
proached two Australian military nurses 
serving on Pacific Partnership who were 
dining at the restaurant. 

The manager wanted to know if Siiha 
could be tested onboard the USNS Mercy, 
the massive hospital ship that serves as 
the floating base for the Pacific Partner- 
ship mission. 

He was hopeful the multinational team 
could provide Siiha with a hearing aid of 
some description to help him be more 
situationally aware of his surroundings 
and perhaps learn to talk. 

The nurses decided to approach their 
U.S. Navy commanders with the proposal 
of having Siiha tested for the one remain- 
ing Williams Sound Pocket Talker Pro 
hearing amplifier, one of two donated by 
the U.S. company. 

Permission was granted and on the 
appointed day Siiha and his friend, a self- 
taught sign language translator, boarded a 
ferry for the short ride to the Mercy and a 
chance for assisted hearing. 

U.S. Navy audiologist Lt. Amanda 
Boudreaux met with Siiha on arrival and 
took him to the ship's audiometric testing 
booth to see what hearing the man still 

"We determined that he had a mild to 
severe hearing loss in one ear and a mild 
to profound loss in the other ear," said 
Bourdreaux. "There was enough hear- 

10 -MEDNEWS -August 2012 

ing ability for him to be able to use an 
amplifier, so we gave him our last one. It 
was really exciting to be able to help this 
young man to understand a bit more of 
what's going on in his world." 

For Siiha it was a life-changing mo- 

"I can hear a little bit of what's going 
on around me now," he said via his sign 
language translator. "It's so much better 
than before, I'm very grateful to everyone 
for making this happen." 

Now that Siiha can hear his surround- 

ings he can try to learn how to speak for 
the first time. 

For Lt. Rebecca Linich, one of the two 
Australian nurses who first heard Siiha's 
story, a chance meeting at a restaurant 
has led to a standout moment for her 

"It feels very satisfying, it feels like I've 
made a difference to someone," said Lin- 
ich. "I thought organizing this would be 
too difficult, but it wasn't. Everyone saw 
the bigger picture and wanted to help, 
and now we've changed a person's life." 

Photo byMaj. Cameron jamieson 

U.S. Navy audiologist Lt. Amanda Boudreaux fits hearing impaired Cambodian man 
Lorn Siiha with a free hearing amplifier, one of only two donated to the ship by Wil- 
liam Sound in the U.S. Siiha can now hear enough to give him situational aware- 
ness. Siiha's plight was brought to the attention of the U.S. Navy doctors by two 
ADF nurses. The event took place during Pacific Partnership 2012's mission stop in 
Sihanoukville, Cambodia. 

Hearing im- 
paired Cambo- 
dian man Lorn 
Siiha sits in an 
audio testing 
booth aboard 
the U.S. Navy 
hospital ship 
USNS Mercy 
for tests to 
ascertain his 
suitability for 
a hearing 
amplifier U.S. 
Navy audiolo- 
gist Lt. Aman- 
da Boudreaux 
is conducting 
the test. 

'yAlaj. Caniewn jamieson